Active NPI
Walter A Lajara-Nanson, M.D.
- Neurology Physician
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 75041
- Practice address
- 1401 25TH Street South
3Rd Floor
Great Falls, MT 59405-5183 - Phone
- (406) 731-8888
- Fax
- (406) 731-8876
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | L4510 | TX | |
| Neurology Physician | 2084N0400X | 75041 | MT | Primary |
Addresses
Primary practice location
1401 25TH Street South
3Rd Floor
Great Falls, MT 59405-5183
Mailing address
1401 25TH Street South
3Rd Floor
Great Falls, MT 59405-5183
Phone (406) 731-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100056860A | Medicaid | OK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wlajarananson19517@benefishs.direct-ci.com | Benefis Hospitals Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK, MT, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 25TH St S
Great Falls, MT 59405-5183
Phone (406) 455-5000
Hospital & facility affiliations
- Benefis Hospitals Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.99 of 100
- Quality
- 62.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75041 | MT | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benefis Hospitals, Inc. | Current | Accepting new patients | |
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| Grand Island Regional Medical Center | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Saints Medical Group, LLC | Neurology | Current | Accepting new patients |
| Benefis Hospitals Inc | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Grand Island Regional Medical Center | Past | Accepting new patients | |
| Covenant Medical Group | Past | Accepting new patients | |
| Benefis Hospitals, Inc. | Past | Accepting new patients |
Locations
1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
1401 25th St S
Ste 3
Great Falls, MT 59405
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
3533 Prairieview St
Grand Island, NE 68803
Phone (308) 675-4557
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
Dept 1467
Tulsa, OK 74182
Dept 1038
Tulsa, OK 74182
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
Interoperability endpoints
- wlajarananson19517@benefishs.direct-ci.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
- Emergency Medicine Physician
- Grand Island, NE
- NPI 1225658495
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
-
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
-
- Durable Medical Equipment & Medical Supplies
- Edmond, OK
- NPI 1730907700
-
- Physical Therapist
- Great Falls, MT
- NPI 1750530515
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1376598904
-
- General Acute Care Hospital
- Grand Island, NE
- NPI 1558910604
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1528050283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 25TH STREET SOUTH",
"address_2": "3RD FLOOR",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055183",
"telephone_number": "406-731-8888",
"fax_number": "406-731-8876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 25TH STREET SOUTH",
"address_2": "3RD FLOOR",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055183",
"telephone_number": "406-731-8888",
"fax_number": "406-731-8876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAJARA-NANSON",
"first_name": "WALTER",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "L4510",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MT",
"license": "75041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100056860A",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wlajarananson19517@benefishs.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Benefis Hospitals Inc",
"address_1": "1401 25th Street South",
"address_2": "3rd Floor",
"city": "Great Falls",
"state": "MT",
"country_code": "US",
"postal_code": "594055183",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.